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� � � <br /> - .��i�� � <br /> � , <br /> C� OF, .O�O�� SEPTICSYS1Eti1PERi�•IITAPPLICATZON � <br /> Box 66 (2750 Kelley Parkway) - <br /> Crystal Bay, bI.�I 5�323 : <br /> '�i��� /5�. s% "4' /�� <br /> JOB SITE ADDRESS: . _ . <br /> � � Occupa.nc�• Type: � Residential � Commercial � � Other � <br /> . s% <br /> Permit Tti•pe: I�'e�v or Replacement System, �100.00 � <br /> Repair ExistinD System, � 50.00 <br /> (Tanks or Drainfield) <br /> 0.50 State surcharge added to above fees - <br /> . *See fee schedule for non-residential permit fees <br /> . �c� ^ f�6 �r�� � <br /> �;,.�•;, �'e-�� Phonehrumb2r: <br /> O�vner's i�'ame•�c� �4 rt��w� ( _ <br /> � Clfy:S?�� Z C✓,� �A�k- �' ���' <br /> N lai l i ng A d d r e s s:_ �c�; u f��y. � FhoneI�Tumb�er: �()r- i 7G 'z.__— <br /> Contractor's I�Ta.me: �-k,�� s t 5�-w� _ <br /> I 1�Iai1 Address: z�s ��u' Sr S.� City:�>� ��.,� �P� s� <br /> lnb <br /> . DO �TOT i1�IAII� P��'�NT '4'YITH THIS APPLICATION - <br /> GEtiTERAT� �TSTRUCTIONS � � <br /> �. Applications for septic system permics may be mailed or submitted i.n person at the City <br /> Offices; however, permits will no[ be mailed out. The permit must be picked up in <br /> person at the Ciry Offices and work must noc be�in unless the permit card is on the job <br /> site. � . <br /> 2, Permiu will be issued only to contractors holdin� a City oi Orono Septic System <br /> Installers License. <br /> 3, All work must be done in accordance �vich the approved sep[ic system desi�n. Desi�n <br /> reports are not considered approved unless accompanied by the "City of Orono Sepcic <br /> System Approval cover sheet si�ned by the City Inspeccor. <br /> 4, : The followin� inspeccions will be required for aIl sep[ic systems: _ _ .. . <br /> � A, Pre-i.nscallation site inspection to include inspector, installer, and general contractor. <br /> B. Tank installation prior to coverinJ. a ection is required <br /> C. Dra'infield trench inst�llation prior to coverin�. For mounds, insp <br /> afrer rouQh-up buc prior to sand placement (sand will be jar tested for silt con[en�), <br /> � and a�ain durin� pressure disttibution pipin� i.nstallation in � rock b P• S�tion <br /> D. F i n a l i.n s P e c c i o n t o v e ri f y p r o per fmal cover de p[hs and to veri that all umP <br /> (where required) components are functional and comply with codes. <br /> 5, Iiidividual holdin�MPCA Installer Certificate shall be present durin� inspec[ions: A 2`�` <br /> hour notice is required for all inspections. <br />